Quality of life after non-nerve-sparing, robot-assisted radical prostatectomy.
erectile function
incontinence
prostatectomy
quality of life
robotics
Journal
Asia-Pacific journal of clinical oncology
ISSN: 1743-7563
Titre abrégé: Asia Pac J Clin Oncol
Pays: Australia
ID NLM: 101241430
Informations de publication
Date de publication:
18 Oct 2023
18 Oct 2023
Historique:
revised:
21
09
2023
received:
16
06
2023
accepted:
06
10
2023
medline:
18
10
2023
pubmed:
18
10
2023
entrez:
18
10
2023
Statut:
aheadofprint
Résumé
To evaluate quality of life (QOL) after non-nerve-sparing, robot-assisted radical prostatectomy (RARP) and factors associated with worsened QOL. Patients who underwent non-nerve-sparing RARP (n = 115) were enrolled. The Expanded Prostate Cancer Index Composite and 8-item Short Form Health Survey were used to evaluate QOL at baseline and postoperative 1, 3, 6, 12, and 24 months. Preoperative factors were evaluated by multivariate analysis for worsened QOL. Postoperative 24-month urinary QOL worsened in 68 of 115 (59%) patients. In multivariate analysis, membranous urethral length ≥10.8 mm [odds ratio (OR): .26, 95% confidence interval (CI): .07-.96] and intravesical prostatic protrusion ≥12 mm (OR: .14, 95% CI .06-.35) were significantly associated with maintaining postoperative 24-month urinary QOL. Significantly more patients with intravesical prostatic protrusion ≥12 mm than < 12 mm had improved urinary QOL. At postoperative 24 months, 43 of 115 (38%) patients had worsened sexual QOL. In multivariate analysis, higher Sexual Health Inventory for Men score (OR: 8.39, 95% CI 2.28-30.9), sexual activity (OR: 6.94, 95% CI: 2.27-21.2), and intercourse activity (OR: 6.81, 95% CI: 1.64-28.3) preoperatively were significantly associated with worsened postoperative 24-month sexual QOL. More patients with high preoperative intercourse activity (12/23,53%) had significantly worsened (p = .009) QOL regarding sexual bother than those who had no preoperative intercourse activity (21/92, 23%). After non-nerve-sparing RARP, patients with long membranous urethral length and/or intravesical prostatic protrusion maintain urinary QOL. Patients with high intercourse activity presented with impairment of sexual QOL after non-nerve-sparing RARP.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023 John Wiley & Sons Australia, Ltd.
Références
Gandaglia G, Sammon JD, Chang SL, et al. Comparative effectiveness of robot-assisted and open radical prostatectomy in the postdissemination era. J Clin Oncol. 2014;32:1419-1426.
Saika T, Miura N, Fukumoto T, Yanagihara Y, Miyauchi Y, Kikugawa T. Role of robot-assisted radical prostatectomy in locally advanced prostate cancer. Int J Urol. 2018;25:30-35.
Wang C, Kishan AU, Kamrava M, Steinberg ML, King CR. External beam radiation therapy with a brachytherapy boost versus radical prostatectomy in Gleason Pattern 5 prostate cancer: a population-based cohort study. Int J Radiat Oncol Biol Phys. 2017;98:1045-1052.
Bandini M, Marchioni M, Preisser F, et al. Survival after radical prostatectomy or radiotherapy for locally advanced (cT3) prostate cancer. World J Urol. 2018;36:1399-1407.
Donovan JL, Hamdy FC, Lane JA, et al. Patient-reported outcomes after monitoring, surgery, or radiotherapy for prostate cancer. N Engl J Med. 2016;375:1425-1437.
Nakai Y, Tanaka N, Asakawa I, et al. Quality of life in patients who underwent robot-assisted radical prostatectomy compared with those who underwent low-dose-rate brachytherapy. Prostate. 2023;83:701-712.
Yilin Z, Fenglian J, Yuanling W, Chunye G, Shuang L, Peizhen L. Predictors for lower urinary tract symptoms in patients underwent radical prostatectomy: implications for postoperative nursing care. J Clin Nurs. 2022;31:1267-1272.
Mungovan SF, Sandhu JS, Akin O, Smart NA, Graham PL, Patel MI. Preoperative membranous urethral length measurement and continence recovery following radical prostatectomy: a systematic review and meta-analysis. Eur Urol. 2017;71:368-378.
Sanda MG, Dunn RL, Michalski J, et al. Quality of life and satisfaction with outcome among prostate-cancer survivors. N Engl J Med. 2008;358:1250-1261.
Salter CA, Tin AL, Bernie HL, et al. Predictors of worsening erectile function in men with functional erections early after radical prostatectomy. J Sex Med. 2022;19:1790-1796.
Schifano N, Capogrosso P, Pozzi E, et al. Impact of time from diagnosis to treatment on erectile function outcomes after radical prostatectomy. Andrology. 2020;8:337-341.
Leyh-Bannurah SR, Wagner C, Schuette A, et al. Improvement of quality of life and symptom burden after robot-assisted radical prostatectomy in patients with moderate to severe. LUTS Sci Rep. 2021;11:16757.
Briganti A, Larcher A, Abdollah F, et al. Updated nomogram predicting lymph node invasion in patients with prostate cancer undergoing extended pelvic lymph node dissection: the essential importance of percentage of positive cores. Eur Urol. 2012;61:480-487.
Takegami M, Suzukamo Y, Sanda MG, et al. The Japanese translation and cultural adaptation of Expanded Prostate Cancer Index Composite (EPIC). Nihon Hinyokika Gakkai Zasshi. 2005;96:657-669.
Tokuda Y, Okubo T, Ohde S, et al. Assessing items on the SF-8 Japanese version for health-related quality of life: a psychometric analysis based on the nominal categories model of item response theory. Value Health. 2009;12:568-573.
Hikita K, Honda M, Teraoka S, et al. Intravesical prostatic protrusion may affect early postoperative continence undergoing robot-assisted radical prostatectomy. BMC Urol. 2020;20:164.
Rocco F, Carmignani L, Acquati P, et al. Early continence recovery after open radical prostatectomy with restoration of the posterior aspect of the rhabdosphincter. Eur Urol. 2007;52:376-383.
Tewari AK, Bigelow K, Rao S, et al. Anatomic restoration technique of continence mechanism and preservation of puboprostatic collar: a novel modification to achieve early urinary continence in men undergoing robotic prostatectomy. Urology. 2007;69:726-731.
Sridhar AN, Abozaid M, Rajan P, et al. Surgical techniques to optimize early urinary continence recovery post robot assisted radical prostatectomy for prostate cancer. Curr Urol Rep. 2017;18:71.
Schäfer W, Abrams P, Liao L, et al. Good urodynamic practices: uroflowmetry, filling cystometry, and pressure-flow studies. Neurourol Urodyn. 2002;21:261-274.
Franco G, De Nunzio, C, Leonardo C, et al. Ultrasound assessment of intravesical prostatic protrusion and detrusor wall thickness-new standards for noninvasive bladder outlet obstruction diagnosis? J Urol. 2010;183:2270-2274.
Grivas N, van der Roest R, Tillier C, et al. Patterns of benign prostate hyperplasia based on magnetic resonance imaging are correlated with lower urinary tract symptoms and continence in men undergoing a robot-assisted radical prostatectomy for prostate cancer. Urology. 2017;107:196-201.
Lee CH, Ha HK. Intravesical prostatic protrusion as a predictor of early urinary continence recovery after laparoscopic radical prostatectomy. Int J Urol. 2014;21:653-656.
Zhang F, Chu H, Hao Y, et al. Preoperative predictive model of early urinary continence recovery after laparoscopic radical prostatectomy. World J Urol. 2023;41:59-65.
Sooriakumaran P, Pini G, Nyberg T, et al. Erectile function and oncologic outcomes following open retropubic and robot-assisted radical prostatectomy: results from the laparoscopic prostatectomy robot open trial. Eur Urol. 2018;73:618-627.
Namiki S, Kwan L, Kagawa-Singer M, et al. Sexual function reported by Japanese and American men. J Urol. 2008;179:245-249.
Inoue S, Hayashi T, Teishima J, et al. Longitudinal evaluation of the frequency of sexual intercourse and sexual activity in patients after nerve-sparing robot-assisted laparoscopic radical prostatectomy. BJU Int. 2021;127:560-566.
Tamura K, Matsushita Y, Watanabe H, et al. Limited impact of erectile function on health-related quality of life in Japanese men undergoing robot-assisted radical prostatectomy. Int J Urol. 2022;29:956-961.
Ratcliff CG, Cohen L, Pettaway CA, Parker PA. Treatment regret and quality of life following radical prostatectomy. Support Care Cancer. 2013;21:3337-3343.
Ngoo KS, Honda M, Kimura Y, et al. Longitudinal study on the impact of urinary continence and sexual function on health-related quality of life among Japanese men after robot-assisted radical prostatectomy. Int J Med Robot. 2019;15:e2018.